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Updated: Oct 26, 2025

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Renal lipotoxicity: Insights from experimental models.

Barbara Bruna Abreu Castro1,2, Orestes Foresto-Neto3, Niels Olsen Saraiva-Camara3

  • 1Laboratory of Experimental Nephrology, Nucleus of Animal Experimentation (NIDEAL), Centre of Reproductive Biology (CBR), Federal University of Juiz de Fora (UFJF, Juiz de Fora, Minas Gerais, Brazil.

Clinical and Experimental Pharmacology & Physiology
|July 27, 2021
PubMed
Summary

Obesity increases kidney disease risk by causing renal lipotoxicity. Excess lipids harm kidney cells, leading to dysfunction and fibrosis, highlighting the need for therapeutic targets.

Keywords:
fatty acidshigh-fat diethyperlipidaemiakidney diseaseslipid metabolism disorders

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Area of Science:

  • Nephrology
  • Metabolic Disorders
  • Cellular Biology

Background:

  • Rising global prevalence of obesity and chronic kidney disease.
  • Established link between obesity and renal lipotoxicity.
  • Lipid accumulation in kidney cells can impair function and cause fibrosis.

Purpose of the Study:

  • To review mechanisms of renal lipotoxicity in obesity.
  • To summarize how lipotoxicity affects kidney morphology and function.
  • To identify potential therapeutic targets for obesity-related kidney dysfunction.

Main Methods:

  • Review of experimental models of obesity.
  • Analysis of cellular and organelle dysfunction due to lipid accumulation.
  • Examination of pathways linking lipotoxicity to kidney injury.

Main Results:

  • Fatty acid accumulation in tubular cells is a key mechanism.
  • Lipids impact podocyte function and survival.
  • Mitochondrial, lysosomal, and endoplasmic reticulum alterations contribute to kidney damage.

Conclusions:

  • Kidneys are highly susceptible to lipotoxicity.
  • Understanding lipotoxicity mechanisms is crucial for managing obesity-related kidney disease.
  • Identifying therapeutic targets may help control renal dysfunction.